FORM 1023-EZ for THE VINE FAMILY SERVICES

Field Data
EIN 82-4407740
Case Number EO-2020177-000716
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE VINE FAMILY SERVICES
Organization’s Mailing Address 424 LAKE AVE UNIT 501
City RACINE
State WI
ZIP 53403
Accounting period End 12
Primary contact name DEANNA FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA FORD
PRESIDENT/EXECUTIVE DIRECTOR
424 LAKE AVE UNIT 501
RACINE WI 53403

Officer/Director/Trustee Two

JARASHA WILLIAMS
TREASURER
524 HAYES AVE
RACINE WI 53403

Officer/Director/Trustee Three

DANA MOSLEY-CLARK
SECRETARY
4404 KNOLL PLACE
RACINE WI 53403

Officer/Director/Trustee Four

DADRA LOCKRIDGE
OFFICER
1853 WOODLAND AVE
RACINE WI 53403

Officer/Director/Trustee Five

CHINA THOMPSON
OFFICER
1213 FLORENCE AVE
RACINE WI 53402

Organization’s website THEVINEFS.ORG
Organization’s email DFORD@THEVINEFS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2018
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEANNA FORD
Signature Title PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 6/23/2020

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